Published norms underestimate the health-related quality of life among persons with type 2 diabetes

Norris, Susan L.; McNally, Tarra K; Zhang, Xuanping; Burda, Brittany U; Chan, Benjamin; Chowdhury, Farah M.; Zhang, Ping; Patrick, Donald L.

doi:10.1016/j.jclinepi.2010.04.016

Cited by 38 publications

(43 citation statements)

References 78 publications

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“…Current treatment goals in diabetes are not limited solely to metabolic control and prevention of acute and chronic complications, but also include preservation of good QoL [3]. Patients with diabetes are known to have a worse QoL compared with non-diabetic subjects [3][4][5][6][7][8]. Among factors related to decreased QoL in diabetes, the presence of diabetic complications, especially advanced, and episodes of hypoglycaemia are considered to be the most important [14,15].…”

Section: Discussionmentioning

confidence: 99%

“…The number of people with diabetes is continuously increasing and its prevalence has even exceeded previous expectations [1,2]. Diabetes is associated not only with an increased risk of diabetes-related complications, but also with a higher prevalence of mood disorders, including depression, as well as with a reduced quality of life(QoL) [3][4][5]. QoL can be perceived as a multidimensional functioning in the surrounding world on the physical, mental, social and environmental areas [5].…”

Section: Introductionmentioning

confidence: 99%

“…QoL can be perceived as a multidimensional functioning in the surrounding world on the physical, mental, social and environmental areas [5]. The interest of the scientific world with the QoL assessment in diabetes dates back to late 1980s, and the number of publications considering QoL in the diabetic population has also increased remarkably in the last decades [3][4][5][6][7][8][9][10]. In the assessment of health-related QoL in diabetic subjects many questionnaires can be used, including generic [World Health Organization Quality of Life (WHOQOL), Short-Form 36 (SF-36), EuroQoL5-Dimension (EQ-5D),Beck Depression Inventory (BDI), Hospital Anxiety and Depression Scale (HADS), Well-Being Questionnaire (W-BQ)], and the diabetes-specific tools [Diabetes Quality of Life (DQOL), Audit of Diabetes-Dependent Qualityof Life (ADDQoL),Diabetes Treatment Satisfaction Questionnaire (DTSQ), and Problem Areas in Diabetes (PAID)]; obviously however, none of them is perfect [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…People suffering from diabetes should follow recommendations regarding diet and physical activity, they must remember to take antidiabetic medications, and also the self-monitoring of their blood glucose level, which requires pricking their own fingers. Thus, not surprisingly, diabetes is associated with a lower QoL [3][4][5]. It should also be kept in mind that type 2 diabetes is a progressive disease and in its course stepwise intensification of treatment over time is required, beginning usually from monotherapy, through 2-3 different oral drugs, up to insulin treatment in different regimens, with or without concomitant medications [14].…”

Section: Introductionmentioning

confidence: 99%

“…Despite these concerns, most of the evidence indicate that initiation of insulin therapy usually does not deteriorate QoL; however, in different studies different questionnaires were used, and in many cases the results are not fully comparable due to different sensitivity and specificity of the questionnaires used [6,15]. Among the factors deteriorating health-related QoLin in diabetes, the presence of long-term diabetic complications and episodes of hypoglycemia can be pointed out [4,[15][16][17]. …”

Section: Introductionmentioning

confidence: 99%

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Association between insulin therapy and quality of life in diabetes

Dąbrowski¹,

Filip²,

Huc³

2017

J Pre Clin Clin Res.

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Introduction. Diabetes is associated with a lower quality of life (QoL). Insulin therapy is perceived as an additional factor affecting QoL. The objective of this study, using standardized tools, was to evaluate to what extent insulin treatment has an effect on QoL in diabetes. Materials and method. 60 diabetic patients treated with insulin and 90 with oral drugs, all aged over 30, were included into the study. To assess the QoL of patients, SF-36 v.2 and WHOQOL-BREF questionnaires were used. In addition, demographic data were collected. Results. Insulin treated patients had a significantly lower Mental Component Score in SF-36 v.2 questionnaire. No significant differences between the two groups were found in the components of physical domain of SF-36 v.2 and in four domains of WHOQOL-BREF questionnaires. Insulin therapy was significantly associated with lower educational level. The strongest association with QoL in both questionnaires was found for professional activity and age. Conclusions. The results of this study indicate the need for psychological support for patients with diabetes treated with insulin to improve their mental coping. Diabetic patients should also be advised to continue their professional activity for as long as possible due to its important role in maintaining QoL.

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